Submit Your Claim Online

* Name:
   Address:
   City:
   Province:
   Postal Code:
* Email:
* Telephone:
* Date of Injury:
(Ex. mm/dd/yy)
What type of case do you need help with?
Description of accident:
Please briefly describe your injuries:
Warning

Generally, you have 2 years from the date of injury to begin a lawsuit or settle your claim otherwise all of your rights become extinguished. Further, if your claim is against a municipality, then you have 60 days to notify the municipality/district/city and 6 months to commence a lawsuit. By submitting this form there is no lawyer-client relationship created. You are simply arranging a free consultation with a personal injury lawyer.

I have read and understood this warning: *
Yes

Personal Injury Fact #2

All personal injury claims have time limits in which you must either settle your claim or launch a lawsuit to preserve the claim. See "Time Limits" under "Your Injury Claim" in the menu.

Farouk Jiwa
Trial Lawyer

Jiwa Law Corporation
307-6330 Fraser Sreet
Vancouver, B.C. V5W 3A4
604-568-9444
email: info@myinjury.ca

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